Korean J Obstet Gynecol.  2012 Jul;55(7):493-501. 10.5468/KJOG.2012.55.7.493.

Laparoscopic cervical myomectomy: Five years of experience

• Lee SY
• Lee HS
• Cho YJ
• Joo KY
• Kim JM

• KMID: 1992559
• DOI: http://doi.org/10.5468/KJOG.2012.55.7.493

Abstract

OBJECTIVE
This retrospective case series evaluated the feasibility and safety of laparoscopic cervical myomectomy.
METHODS
Sixty-five patients with cervical myoma who underwent laparoscopic cervical myomectomy were included in this study.
RESULTS
The mean age of the patients was 39.2 +/- 6.0 years. The marriage rate was 67.7%, and the mean parity was 1.09. The most common symptoms in the patients were increased myoma size (41.5%) and menorrhagia (13.8%), while 20% of patients were asymptomatic. The average diameter of the myomas treated was 72.68 +/- 20.28 mm, and the mean number of myomas per patient was 1.41 +/- 0.88. Laparoscopic cervical myomectomy required a mean time of 63.25 +/- 20.34 minutes. The difference between preoperative and postoperative hemoglobin levels was 2.01 +/- 0.73 g/dL, and no patient required transfusion or conversion to laparotomy.
CONCLUSION
Sixty-five procedures of laparoscopic cervical myomectomy were performed safely. Operation time and complications were minimal. With correct understanding of pelvic anatomy, laparoscopic cervical myomectomy can be carried out safely and easily, and represents a minimally invasive treatment choice for symptomatic cervical myoma.

Keyword

Laparoscopy; Cervical myoma; Laparoscopic cervical myomectomy

MeSH Terms

Female
Hemoglobins
Humans
Laparoscopy
Marriage
Menorrhagia
Myoma
Parity
Retrospective Studies
Hemoglobins

Figure

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  Fig. 1 Laparoscopic cervical myomectomy: posterior cervical myoma, subserosal type. Before enucleation of myoma, ureter dissection was perfomed. After enucleation, incised peritoneum was sutured continuously.

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  Fig. 2 Laparoscopic cervical myomectomy: anterior cervical myoma, intracervical type. Adequate separation of the bladder was performed before myoma enucleation. In this case, the anterior cervix was incised to remove the myoma. After enucleation of the myoma, the incised cervix was sutured continuously in 2 layers.

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